The Polyclinic PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE POLYCLINIC PLLC

Practice address

9709 3Rd Ave NE FL 2
Seattle, WA 98115-2077

Phone

(206) 329-1760

NPI assigned

Jun 5, 2015

Organization subpart

Yes

Parent organization

THE POLYCLINIC PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Craig Pepin

Title

Physician/Owner

Phone

(206) 860-5414

Specialties & licenses 3

Addresses

Other names 2

• Optum Care Washington Doing business as
• Optum Northgate Plaza Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Steffan Havas MD

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1306226170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224201",
            "telephone_number": "206-329-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9709 3RD AVE NE FL 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152077",
            "telephone_number": "206-329-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE POLYCLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE POLYCLINIC PLLC",
        "enumeration_date": "2015-06-05",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PEPIN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "206-860-5414"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Care Washington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optum Northgate Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Polyclinic
• The Polyclinic
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC
• The Polyclinic PLLC

• Durable Medical Equipment & Medical Supplies in Seattle, WA
• Providers in Seattle, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.